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Objective Background Method Results Implications Conclusion Via a research–practice partnership centering community partners' needs and goals in the research design, we examined how parent, infant, and social‐contextual characteristics relate to shared book reading frequency and perceptions of Reach Out and Read (ROR), a national physician‐to‐family program.Shared book reading is associated with higher quality parent–child interactions and enhanced cognitive and socioemotional development. However, only a small percentage of families share books with their infants daily. Understanding factors related to engagement in book sharing is necessary to create developmental messaging that reflects families' experiences.Parents (N = 70) in a southeastern U.S. state were recruited from two participating pediatric clinics and responded to an online survey. Regression analyses examined significant infant, parent, and social‐contextual predictors of shared book reading frequency and perceived ROR value.Findings indicated that parents' insurance, mental health symptoms, and perceptions of the parent‐provider relationship significantly predicted shared book reading frequency. Perceived ROR value was best predicted by parents' mental health symptoms.Strengthening the parent–provider relationship and talking with families about their needs and experiences with their infants may support clinicians in partnering with families around literacy promotion and early relational health.Results suggest the value of considering socioeconomic status, parental mental health symptoms, and the parent–provider relationship when promoting early literacy and relationship‐building experiences during infancy. [ABSTRACT FROM AUTHOR]

Background: Financial toxicity contributes to psychosocial distress among cancer patients and survivors. Yet, contextual factors unique to rural settings affect patient experiences, and a deeper understanding is needed of the interplay between financial toxicity and health care team communication and its association with psychosocial well‐being among rural oncology patients. Purpose: We examined associations between financial toxicity and psychosocial well‐being among rural cancer patients, exploring variability in these linkages by health care team communication. Methods: Using data from 273 rural cancer patients who participated in Cancer Support Community's Cancer Experience Registry, we estimated multivariable regression models predicting depression, anxiety, and social function by financial toxicity, health care team communication, and the interplay between them. Results: We demonstrate robust associations between financial toxicity and psychosocial outcomes among our sample of rural cancer patients and survivors. As financial toxicity increased, symptoms of depression and anxiety increased. Further, financial toxicity was linked with decreasing social function. Having health care team conversations about treatment costs and distress‐related care reduced the negative impact of financial toxicity on depressive symptoms and social function, respectively, in rural cancer patients at greatest risk for financial burden. Conclusions: Financial toxicity and psychosocial well‐being are strongly linked, and these associations were confirmed in a rural sample. A theorized buffer to the detrimental impacts of financial toxicity—health care team communication—played a role in moderating these associations. Our findings suggest that health care providers in rural oncology settings may benefit from tools and resources to bolster communication with patients about costs, financial distress, and coordination of care. [ABSTRACT FROM AUTHOR]